Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,606.93 / $11,481.54	Facility		$2,344.23	$6,606.93	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $6,760.83	Professional		$234.42	$354.81	$6,760.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $812.83	Professional		$371.54	$501.19	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $5,011.87 / $41,686.94	Facility		$338.84	$5,011.87	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $5,623.41 / $10,000.00	Professional		$446.68	$5,623.41	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $8,912.51	Facility		$2,818.38	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $691.83	Professional		$346.74	$457.09	$691.83